Clarion Technology LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CLARION TECHNOLOGY LLC

Practice address

5000 Atrium Way Ste 3
Mount Laurel, NJ 08054-3915

Phone

(916) 550-1050

NPI assigned

Jun 23, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Deane' Wallace

Title

Credentialing Specialist

Phone

(916) 571-9041

Specialties & licenses 2

Addresses

Other names 1

• Trina Health of Mt. Laurel Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1144740739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 AUBURN BLVD STE J",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414139",
            "telephone_number": "916-550-1050",
            "fax_number": "916-550-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 ATRIUM WAY STE 3",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543915",
            "telephone_number": "916-550-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARION TECHNOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DEANE'",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "916-571-9041",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trina Health of Mt. Laurel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.